Individual
SAMUEL UTEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2300
Mailing address
2520 WHITWORTH CT S, RENTON, WA 98055-5002
(503) 381-2113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
61503398
WA
Other
Enumeration date
02/22/2016
Last updated
10/24/2024
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